Coronavirus Disease 2019

Coronavirus Disease 2019

Updated April 2, 2020

Livingston County Health Department (LCHD) is closely monitoring an outbreak of respiratory illness caused by a novel (new) coronavirus (COVID-19). The virus was first detected in Wuhan City, Hubei Province, China and continues to expand globally. The most up-to-date information on the situation is available from the Centers for Disease Control and Prevention (CDC) at

COVID-19 Case Information*

Michigan Cases
Livingston County Cases

* Data will be updated after 3:00 p.m. each day. The most current data can be found at

Click here for more COVID-19 case information.

The Michigan Department of Health and Human Services (MDHHS) is currently reporting sustained widespread community transmission of COVID-19 in multiple areas of the State. To help avoid a rapid increase of cases, MDHHS has issued a series of community mitigation strategy recommendations for individuals, facilities, schools, workplaces, community organizations, and other mass events.

On March 23, 2020 Governor Gretchen Whitmer signed the "Stay Home, Stay Safe" Executive Order (EO 2020-21). The executive order has temporarily:
  • Ordered all Michigan residents to stay home or at their place of residence through April 13, 2020. Residents are permitted to leave their home to engage in outdoor activity (i.e. walking, biking, cycling, etc.) and to perform necessary tasks (i.e. buy groceries, purchase take-out food, pick up medications, buy gasoline, care for an individual or pet living in a different location, report to a job labeled as a critical infrastructure job, etc.). A more complete list of allowable activities can be found within the executive order.
  • Ordered all Michigan residents to follow social distancing measures when they must leave their home, including remaining at least six feet apart from other persons outside your home.
  • Prohibited all public and private gatherings of any number of people not part of a single household.
  • Closed all non-essential businesses including, but not limited to: hair salons, libraries, theaters, fitness centers, bars, casinos, body art and piercing services. Critical businesses will remain open (i.e. grocery stores, pharmacies, gas stations, hospitals, and restaurants – limited to carry-out and delivery orders only).
  • Ordered K-12 schools to close March 16 through April 13.
  • Restricted non-essential medical and dental procedures.

MDHHS is available to respond to health-related questions about COVID-19 seven days a week from 8 a.m. to 5 p.m. You can call the COVID-19 Hotline at 1-888-535-6136 or email your questions to

Local Response Actions

All community residents should stay home, except to perform tasks necessary to the health and safety of themselves or their family, like going to the hospital or grocery store. Livingston County Health Department continues to recommend all community members practice basic prevention. Good handwashing, staying away from others if sick, and covering your cough are always recommended to reduce the spread of illness. Also, consider reviewing your basic emergency supplies or plans. The situation locally may change quickly. The Health Department and your local Livingston County Officials are relying on our community to work together to slow the potential spread of illness and refer to official sources of reliable information.

Livingston County Health Department is working closely with state and federal health officials to appropriately monitor or test any individuals meeting current Person Under Investigation (PUI) guidelines. We are actively sharing information about the situation locally and where to get reliable state, national, and international updates. We also continue to work closely with health care providers, other first responders, and community members to prepare for an increase of COVID-19 cases locally.


For confirmed coronavirus disease 2019 (COVID-19) cases, reported illnesses have ranged from mild symptoms to severe illness and death. Symptoms can include:
  • Fever
  • Cough
  • Shortness of breath
At this time, the CDC believes symptoms of COVID-19 may appear in as few as 2 days or as long as 14 days after exposure. This is based on what has been seen previously as the incubation period of MERS-CoV viruses.

Individuals who are concerned about their health and experiencing respiratory illness or other concerning symptoms, should call their healthcare provider to discuss their symptoms. The CDC's Coronavirus Self-Checker can help you make decisions about seeking appropriate medical care.  Also, consider reading What to Do If You Are Sick with Coronavirus Disease 2019 (COVID-19).

How it Spreads

Coronavirus disease 2019 (COVID-19) is thought to spread mainly from person-to-person. This spread can occur between people who are in close contact with one another (within about 6 feet), or through respiratory droplets produced when an infected person coughs or sneezes. These droplets can land in the mouths or noses of people who are nearby or possibly be inhaled into the lungs.

It may also be possible that a person can get COVID-19 by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads.


There is currently no vaccine to prevent coronavirus disease 2019 (COVID-19). The best way to prevent illness is to avoid being exposed to this virus. You can prevent the spread of illness by practicing everyday healthy habits.
  • Stay at home.
    • Leave for essential trips only.
    • Practice social distancing when out. Social distancing means keeping at least six feet between people as much as possible.
    • Do not touch your face or mouth, especially when out.
    • Stay home when you are sick, except to get medical care. Call ahead before going to your healthcare provider. Learn what to do if you are sick.
    • Wash hands after going out.
  • Clean your hands often.
    • Wash your hands often with soap and water for at least 20 seconds especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
    • If soap and water are not readily available, use a hand sanitizer that contains at least 60% alcohol. Cover all surfaces of your hands and rub them together until they feel dry.
    • Avoid touching your eyes, nose, and mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Cover your cough or sneeze with a tissue, then throw the tissue in the trash. Immediately wash your hands.
  • Clean and disinfect.
    • Clean and disinfect frequently touched objects and surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
    • If surfaces are dirty, clean them. Use detergent or soap and water prior to disinfection.
    • A list of disinfectants for use against SARS-CoV-2 (the virus that causes the COVID-19 disease) is available from the Environmental Protection Agency (EPA). This list includes many commonly used products.
  • Follow CDC's recommendations for using a facemask.
    • CDC does not recommend that people who are well wear a facemask to protect themselves from respiratory diseases, including COVID-19.
    • Facemasks should be used by people who show symptoms of COVID-19 to help prevent the spread of the disease to others. The use of facemasks is also crucial for health workers and people who are taking care of someone in close settings (at home or in a health care facility).

You cannot tell if someone has a risk of spreading novel coronavirus by what they look like. Stereotypes and discrimination harm public health.


Individuals with concerns or symptoms should call their health care provider first with questions. Symptoms of COVID-19 include fever, cough, or difficulty breathing. Remember that these symptoms may also be caused by other viruses, such as flu. Additionally, an individual without symptoms is very unlikely to test positive, even with possible exposure.
Clinicians should decide which patients receive testing based on the local epidemiology of COVID-19, as well as the clinical course of illness. Clinicians are strongly encouraged to test for other causes of respiratory illness, including infections such as influenza. If sending specimen to MDHHS lab, a Person Under Investigation (PUI) Form must be completed, faxed to LCHD at 517-545-9685, and accompany the specimen (COVID-19 Specimen Packaging and Shipping Info). Please be aware, testing resources are limited and while all specimens will be tested, they may be prioritized based on clinical symptoms and epidemiological test factors. Clinicians with questions can call LCHD at 517-546-9850.
More information on testing criteria can be found at

Travel Information

Community transmission of COVID-19 is widespread around the globe, including within the United States. Crowded travel settings, like airports, may increase chances of getting COVID-19, if there are other travelers with coronavirus infection. Depending on your unique circumstances, you may choose to delay or cancel your plans. For the most up to date travel information, view travel alerts through the CDC.

 Posters and Infographics